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NPI Code Detail

MEDICARE: B&T ADVANCED HEALTH, PLLC

MEDICARE: B&T ADVANCED HEALTH, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerA004140AR

General Provider Information

NPI Number : 1568985240
Entity Type Code : Organization
Provider Name (Legal Business Name) : B&T ADVANCED HEALTH, PLLC
Provider Business Mailing Address
First Line : 408 OFFICE PARK DR STE 3
Second Line :
City : BRYANT
State : AR
Zip : 72022-7536
Country : US
Telephone Number : 501-847-2835
Fax Number : 501-847-3802
Provider Business Practice Location Address
First Line : 408 OFFICE PARK DR STE 3
Second Line :
City : BRYANT
State : AR
Zip : 72022-7536
Country : US
Telephone Number : 501-847-2835
Fax Number : 501-847-3802
Authorized Official
Title or Position : ADMIN/CREDENTIALING
Name : MONICA TURNER
Credential :
Telephone Number : 501-847-2835
Provider Enumeration Date : 07/25/2017
Last Update Date : 04/29/2024

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Directions to “B&T ADVANCED HEALTH, PLLC ” Practice Location

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